Associated Factors for Quality of Life, Anxiety, and Depression in Patients with Chronic Heart Failure and Their Family Caregivers: A Cross-Sectional Study in Japan

Background: Family caregivers (FCs) need to provide regular assistance and good quality care to patients to prevent the deterioration of chronic heart failure (CHF); therefore, they may have physical and mental distress. However, physical and mental distress in FCs of patients with CHF in Japan is u...

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Main Authors: Mayumi Niitani, Hiroyuki Sawatari, Yuri Takei, Naoko Yamashita
Format: Article
Language:English
Published: Mary Ann Liebert 2024-10-01
Series:Palliative Medicine Reports
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Online Access:https://www.liebertpub.com/doi/10.1089/pmr.2024.0056
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author Mayumi Niitani
Hiroyuki Sawatari
Yuri Takei
Naoko Yamashita
author_facet Mayumi Niitani
Hiroyuki Sawatari
Yuri Takei
Naoko Yamashita
author_sort Mayumi Niitani
collection DOAJ
description Background: Family caregivers (FCs) need to provide regular assistance and good quality care to patients to prevent the deterioration of chronic heart failure (CHF); therefore, they may have physical and mental distress. However, physical and mental distress in FCs of patients with CHF in Japan is unclear. Objective: This study aimed to clarify the quality of life (QoL), anxiety/depression, and associated factors in patients with CHF and their FCs. Design: We conducted a multicenter cross-sectional survey using a questionnaire between 2016 and 2017 among patients with CHF and their FCs. Demographic data were extracted from medical records. Health-related QoL and anxiety/depression were assessed using the Short Form-12 and the Hospital Anxiety and Depression Scales, respectively. Results: Of 286 patients and FCs (response rate 57.2%), the physical component summary and mental component summary (MCS) scores of FC were higher than those of patients (p < 0.001 and p = 0.047, respectively). The incidence of anxiety and depression in patients with CHF was 7.0% and 10.8%, respectively, whereas that in FC was 10.1% and 12.6%. In multivariable analysis, the MCS score of FC was associated with the MCS score of patients (β = 0.22, p < 0.001). Anxiety in FC was associated with anxiety (β = 0.30, p < 0.001) in patients, respectively. Conclusions: It is necessary to carefully monitor the physical and mental condition of patients with CHF and provide palliative care in collaboration with the palliative care team as needed. Stabilizing the patient’s physical and mental condition through palliative care may also help alleviate the suffering of FC.
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spelling doaj-art-d06cede516c8423386695b9f9d085bb12025-08-20T03:49:37ZengMary Ann LiebertPalliative Medicine Reports2689-28202024-10-015158559410.1089/pmr.2024.0056Associated Factors for Quality of Life, Anxiety, and Depression in Patients with Chronic Heart Failure and Their Family Caregivers: A Cross-Sectional Study in JapanMayumi Niitani0Hiroyuki Sawatari1Yuri Takei2Naoko Yamashita3Department of Nursing and Health Science, Graduate School of Medicine, Ehime University, Ehime, Japan.Department of Perioperative and Critical Care Management, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.Department of Nursing and Health Science, Graduate School of Medicine, Ehime University, Ehime, Japan.Department of Nursing and Health Science, Graduate School of Medicine, Ehime University, Ehime, Japan.Background: Family caregivers (FCs) need to provide regular assistance and good quality care to patients to prevent the deterioration of chronic heart failure (CHF); therefore, they may have physical and mental distress. However, physical and mental distress in FCs of patients with CHF in Japan is unclear. Objective: This study aimed to clarify the quality of life (QoL), anxiety/depression, and associated factors in patients with CHF and their FCs. Design: We conducted a multicenter cross-sectional survey using a questionnaire between 2016 and 2017 among patients with CHF and their FCs. Demographic data were extracted from medical records. Health-related QoL and anxiety/depression were assessed using the Short Form-12 and the Hospital Anxiety and Depression Scales, respectively. Results: Of 286 patients and FCs (response rate 57.2%), the physical component summary and mental component summary (MCS) scores of FC were higher than those of patients (p < 0.001 and p = 0.047, respectively). The incidence of anxiety and depression in patients with CHF was 7.0% and 10.8%, respectively, whereas that in FC was 10.1% and 12.6%. In multivariable analysis, the MCS score of FC was associated with the MCS score of patients (β = 0.22, p < 0.001). Anxiety in FC was associated with anxiety (β = 0.30, p < 0.001) in patients, respectively. Conclusions: It is necessary to carefully monitor the physical and mental condition of patients with CHF and provide palliative care in collaboration with the palliative care team as needed. Stabilizing the patient’s physical and mental condition through palliative care may also help alleviate the suffering of FC.https://www.liebertpub.com/doi/10.1089/pmr.2024.0056chronic heart failurefamily caregiverquality of lifeanxietydepression
spellingShingle Mayumi Niitani
Hiroyuki Sawatari
Yuri Takei
Naoko Yamashita
Associated Factors for Quality of Life, Anxiety, and Depression in Patients with Chronic Heart Failure and Their Family Caregivers: A Cross-Sectional Study in Japan
Palliative Medicine Reports
chronic heart failure
family caregiver
quality of life
anxiety
depression
title Associated Factors for Quality of Life, Anxiety, and Depression in Patients with Chronic Heart Failure and Their Family Caregivers: A Cross-Sectional Study in Japan
title_full Associated Factors for Quality of Life, Anxiety, and Depression in Patients with Chronic Heart Failure and Their Family Caregivers: A Cross-Sectional Study in Japan
title_fullStr Associated Factors for Quality of Life, Anxiety, and Depression in Patients with Chronic Heart Failure and Their Family Caregivers: A Cross-Sectional Study in Japan
title_full_unstemmed Associated Factors for Quality of Life, Anxiety, and Depression in Patients with Chronic Heart Failure and Their Family Caregivers: A Cross-Sectional Study in Japan
title_short Associated Factors for Quality of Life, Anxiety, and Depression in Patients with Chronic Heart Failure and Their Family Caregivers: A Cross-Sectional Study in Japan
title_sort associated factors for quality of life anxiety and depression in patients with chronic heart failure and their family caregivers a cross sectional study in japan
topic chronic heart failure
family caregiver
quality of life
anxiety
depression
url https://www.liebertpub.com/doi/10.1089/pmr.2024.0056
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